Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1922088293 Individual Practitioner Male Practitioner

Dr. Stephen John Klacik , MD

Pediatrics • Gainesville, GA

Professional Overview & Biography Verified Profile Summary

Dr. Stephen Klacik, MD is a registered healthcare professional specializing in Pediatrics in Gainesville, GA. Practice services are available at 725 JESSE JEWELL PKWY SE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

725 Jesse Jewell Pkwy Se

Gainesville, GA 305013834

Telephone 7705353611
Fax 7705357092
Associated Practice Facility / Clinic
🏢 The Longstreet Clinic, Pc Facility NPI 1326019977

Specialty Benchmarks & Practice Insights

Comparative analytics for Pediatrics in Gainesville, GA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 21.2 Yrs
Regional Practice Density
39 Specialists

Practicing in Gainesville, GA (2326 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2023-08-17
Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

State License GA 054230

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
845371853A (GA)
Medicaid State Provider ID
845371853B (GA)
Medicaid State Provider ID
845371853C (GA)
Medicaid State Provider ID
845371853D (GA)
Medicaid State Provider ID
845371853F (GA)
Commercial Insurance / Payer ID Cigna
3548885 (GA)
Commercial Insurance / Payer ID Wellcare
302580 (GA)
Commercial Insurance / Payer ID Aetna Hmo
3532508 (GA)
Commercial Insurance / Payer ID Uhc
1908730 (GA)
Commercial Insurance / Payer ID Wellcare
302581 (GA)

Secondary Practice Locations

1270 Friendship Rd

Braselton, GA 305175630

Phone: 6782074200

155 Professional Dr

Baldwin, GA 305114000

Phone: 7067762368

4019 Executive Drive

Oakwood, GA 305663433

Phone: 7705336500

743 Spring St Ne

Gainesville, GA 305013715

Phone: 7705353611

1400 River Pl

Braselton, GA 305175600

Phone: 7705353611

4095 S Lee St

Buford, GA 305183647

Phone: 7709328519

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
NPI 1043290307

Doctor of Medicine (M.D.)

NPI 1053391979

Doctor of Medicine (M.D.)

Julie Chapman , PA

Physician Assistant - Medical

NPI 1073550059

Physician Assistant

NPI 1073730032

Registered Nurse, Master of Science, Certified Pediatric Nurse Practitioner, NNPBC

Stephanie Debski , NNP-BC

Nurse Practitioner - Neonatal, Critical Care

NPI 1083056931

NNPBC

Marisa Breen

Nurse Practitioner - Acute Care

NPI 1083240154

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active February 20, 2012

NPI status registered as active in NPPES database

📍
Updated Practice Location February 20, 2012

Registered at 725 JESSE JEWELL PKWY SE, GAINESVILLE, GA 305013834 (Tel: 7705353611)

📍
Updated Business Mailing Address February 20, 2012

Registered at PO BOX 658, GAINESVILLE, GA 305030658 (Tel: 7707181122)

👤
Provider Name / Credentials Updated February 20, 2012

Recorded as STEPHEN KLACIK, MD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 20, 2012

Pediatrics (License #054230 in GA)

🟢
Initial NPI Registration & Enumeration January 20, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1922088293
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 20, 2006
Last Update: August 17, 2023
Sole Proprietor: No

Mailing Address

Po Box 658

Gainesville, GA 305030658

Phone: 7707181122

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.